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March 22, 2023 CMS recently announced several updates to the online Provider Enrollment Chain and Ownership System (PECOS). Beginning this summer, PECOS will unveil the latest version, touted by CMS to make the process of applying to “become a Medicare provider... March 22, 2023 Atlanta, GA – Kit Shellhouse, formerly of ECS North and ACU-Serve, has joined The van Halem Group, a division of VGM Group, as the Director of Business Development.
With her client-focused approach and more than 20 years of experience in the... September 26, 2022 Atlanta, GA – The van Halem Group is excited to announce that Kelly Grahovac, General Manager, has been named as an Associate Director to the Big Sky Association of Medical Equipment Suppliers Board of Directors.
“I’m honored and... June 3, 2021 Beginning August 2020, Medicare Administrative Contractors (MACs) resumed post-payment reviews of items and services with dates of service before March 2020. MACs may now begin conducting post-payment medical reviews for later dates of service.
The... August 12, 2020 By Sandra Gauron, Audit and Appeals Coordinator
In an effort to provide Administrative Law Judge (ALJ) backlog relief, CMS launched the Settlement Conference Facilitation (SCF) pilot program in July 2014. SCF is an alternative dispute resolution... June 29, 2020 CMS has updated the Advance Beneficiary Notice of Noncoverage (ABN) (Form CMS-R-131). Providers can use the new form now, and mandatory use of the form will be on 8/31/2020. The form is valid through 06/30/2023. On or after 8/31/2020, issuing an ABN... February 25, 2020 The van Halem Group will be partnering with Össur Americas, Inc., a global manufacturer of orthotic and prosthetic products. As part of this agreement, The van Halem Group will provide clinical prescreen reviews and appeal services for custom orthotics... February 6, 2020 CMS has approved two new topics for the DMEPOS RAC, Performant, to begin reviewing, effective March 1, 2020.
Hospital Beds: Medical Necessity and Documentation Requirements
Description: Hospital Beds must meet basic coverage criteria whether at... January 28, 2020 By Abrielle Uritz, RN, BSN, CPC, CEMC
As a Doctor of Chiropractic, responding to a medical records request can be challenging; however, the A and B MACs have created a tool that will help to adequately respond to these requests. This includes guidance... January 23, 2020 By Kim Turner, RN
No matter how careful, Medicare claim mistakes
will happen. When they do, your claim may not be able to be processed by the
DME MAC. Listed below are some common errors which prevent your claim from
being processed. If you find a...